Individual provider Active NPI

Dana Crawford

  • Pharmacist
  • Prosperity, SC
National Provider Identifier
1609487123
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42645 Issued in SC
Practice address
101 N Main Street
Prosperity, SC 29127
Phone
(803) 364-2310
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42645 SC Primary

Addresses

Primary practice location

101 N Main Street
Prosperity, SC 29127

Mailing address

PO Box 147
Prosperity, SC 29127-0147
Phone (803) 364-2310

Other practice location 1

1300 Sunset Blvd
West Columbia, SC 29169-5914
Phone (803) 791-7043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42645SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Mart Weco LLC CurrentSince Feb 9, 2025 Accepting new patients
Pugh Drug Inc CurrentSince Aug 27, 2023 Accepting new patients
Med Mart Weco LLC Pharmacist PastSince Aug 1, 2020 Accepting new patients
Pugh Drug Inc PastSince Aug 29, 2021 Accepting new patients

Locations

1300 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-7043

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1609487123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270147",
            "telephone_number": "803-364-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN STREET",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "29127",
            "telephone_number": "803-364-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291695914",
            "country_code": "US",
            "telephone_number": "803-791-7043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosperity, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.